Certificates of Insurance
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I INSURED
I AIDS HELP, INC.
! P.O. BOX 4374
KEY WEST, FLORIDA
THE PORTER ALLEN COMPANY
513 SOUTHARD STREET
KEY WEST, FLORIDA 33040
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CERTIFICATE OF INSURANCE ;su~;~~~;;~IYY) I
r-THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO-- j
,! CONFERS NO RIGHTS U.. PON THE CER. TIFIC ATE. HOLDER. THIS CERTIFICA TEl'
, DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
LJ~Q_L1CIES BELOW.. _ __.______
COMPANIES AFFORDING COVERAGE
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f~T~~NY A
LIBERTY MUTUAL INSU~ CO~ANY
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f~T~~~NY B
f~T~~~NY C
33040
f~T~~~NY D
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ico
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TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
Received
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DATE~~
INITIAL 0
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GENERAL AGGREGATE $
PRODUCTS-COMP/OP AGG. $
PERSONAL & ADV. INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED. EXPENSE (Anyone person) $
CLAIMS MADE
OCCUR.
OWNER'S & CONTRACTOR'S PROTo
COMBINED SINGLE $
LIMIT
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE $
EACH OCCURRENCE $
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
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EMPLOYERS' LIABILITY
WC1-351-476526-012
12/11/92
12/11/93
AGGREGATE $
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EACH ACCIDENT $ 100.000. !
DISEASE-POLICY LIMIT $ 500.000. I
DISEASE=E~?~~~.:.~~~~,~_.!_l.OO ,000 ""-..I
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WORKER'S COMPENSATION
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER
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CANCELLATION
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST, FLORIDA 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL -lO.. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL S t-!9TICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF A IND UP MPANY, ITS AGENTS OR REPRESENTATIVES.
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@ACORDCORPORATION 19901
DAVID
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A"~..ltlt" CERTIRCA TE OF INSURANCE ISSUE DATE (MM/DDIYY) !
X 07/16/93 I
/rTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND~"--.'.'
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
L~I~~~TQ~~~;:;;?~~;~:~~~~;:O;::~;:;RDED_ BY_~HE
CLEOTMTPEARNYA I
FRONTIER INSURANCE COMPANY OF NEW YORK
~:~:::: FRONTIER INSU7:e~,,:OMPANY OF NEW Y~RK ;1
COMPANY 0 Risk Mgi7m, .: '~~: "17 J: . I
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COMPANY ::;.-- -~-- -~ ~F' !
LETTER E -_._--~.. ---. .~,I; . ,,~r '
!Co-=~~~~ C'RTIF~ T==' 'NSURANC::T'D :l~~~::~:: I=O~'H~ '::D~:M~D :O~ t~1
.11,' INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH~HIS '
, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE ~M ,
i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~- 1'>.-
!co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS C 11 I
~ TR DA TE (MM/DDIYY) DA TE (MM/DDIYY) .
. '.._~___........m...._....._ ............ . _ ~...__... '., ."._ _....._~._.._.."'____ ,.. ......~...... ."J
GENERAL LIABILITY GENERAL AGGREGATE $1,500,000. I
A XX COMMERCIAL GENERAL LIABILITY MPS-C002692-00 03-21-93 03-21-94 PRODUCTS.COMP/OP AGG. $ INCLUDED "
CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $500,000.
OWNER'S & CONTRACTOR'S PROTo EACH OCCURRENCE $ 500,000. I
FIRE DAMAGE (Anyone fire) $ 50,000. I
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r"~-~UT;;;~BILE LIAB~';;:;'---""''''-''---'-''''-'' ...--.--..---.--.-. ~~~~ -----...,--...
, ANY AUTO ~~~~~
PRODUCER
THE PORTER ALLEN COMPANY
513 SOUTHARD STREET
KEY WEST FLORIDA 33040
INSURED
AIDS HELP, INC.
PO BOX 4374 (2700
KEY WEST, FLORIDA
FLAGLER)
33040
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA
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$
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL -1.Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE C ANY, ITS AGENTS OR R RESENTATIVES.
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91$
WORKER'S COMPENSATION
AND
B
PROFESSIONAL LIABILITY
FOPL 00 01 70 03-21-93 03-21-94
.....__._......_'"_M.~.._'-'~--........"-__._,,__"_,_,..,..W,U~'''''__....,..'..,,,.,.....
i DESCRIPTION OF OPERA TlONS/LOCA TIONSIVEHICLES/SPECIAL ITEMS
""'~~-"""--""""'_'_~___V' __'=->_,_" ...._".._.~.~ ._,..~..".... ..~.-
r' CERTIFICATE HOLDER
. MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
5100 COLLEGE ROAD
KEY WEST FLORIDA 33040
CANCELLATION
AUTHORIZED REPRESENTATIVE
PERMISSION GRANTED
~~9RD 2S.S (7/90)
COMBINED SINGLE
LIMIT
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE $
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EACH OCCURRENCE $
AGGREGATE
$
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
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PER OCCURRENCE $500,000.
GENERAL AGGREGATE $1,500,
tBAr.nRn~naATIIU" .ft.ftft]
The Porter.Allen Company
613 Southard Street
Key West. FL 33041
(305) 294-2542
JULY 20, 1993
MONROE COUNTY
KAY BAHLEDA
RISK MANAGEMENT
PUBLIC SERVICE BUILDING
WING II
KEY WEST,FLA. 33040
;,!...
RE: AIDS HELP, INC.
DEAR KAY:
HERE ARE THE TWO ENDORSEMENTS TO AIDS HELP, INC., PACKAGE AND
PROFESSIONAL LIABILITY POLICIES.
, -_._,~ "'-
Agents for C1GNA Property and Casualty Companies
HH-7H20a
".
Received
''< PTn, i~ Loss Control
?_:E?:~ - 7'3
'.. ':#5
rOLlCY NUMBER: MPS-C002692-00
COMMERCIAL GENERAL LIAR'" 1 Y
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED-DESIGNATED PERSON OR
ORGANIZATION
r his endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART.
SCHEDULE
Name of Penon or Organization:
ANY AND ALL FUNDING SOURCES WITH RESPECT TO INSURED'S OPERATIONS.
(If no entry appears above, Information required to complete this endorsement will be shown In the Declarations
as applicable to this endorsement.)
WHO IS AN INSURED (Section II) Is amended to Include as an Insured the person or organization shown in the
Schedule as an insured but only with respect to liability arising out of your operations or premises owned hy or
rented to you.
CG 20 26 11 85
Copyright, Insurance ~ervlces Office, Inc., 1984
o
4 - - -~~-"-.'4
._~---._~--..".......
::--.....
LIABILITY ~ EXCEPTIONS
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
Name of Person or Organization:
^tly AND ALL FUNDING SOURCES WITH RESPECT TO INSURED'S OPERATIONS.
SCHEDULE
(Tf no entry appears above, 'nformation required to complete th's endorsement
will be shown 'n the Declarat'ons a, applicable to th's endorsement.)
!-I If 0 IS AN INSURED (Sectton IV) ts amended to include as an insured the person
or organtzation shown tn the Schedule as an insured but only wtth respect to
liability artsing out of your operattons or premises owned by or rented to
you.
PLAI (2/91)